How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $112.20 Median $154.88 Typical High $537.03 | Facility | None | $112.20 | $154.88 | $537.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $165.96 Typical High $977.24 | Facility | TC · Technical part | $91.20 | $165.96 | $977.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $144.54 Typical High $295.12 | Professional | None (both parts) | $112.20 | $144.54 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $46.77 Typical High $79.43 | Professional | 26 · Professional part | $36.31 | $46.77 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $97.72 Typical High $208.93 | Professional | TC · Technical part | $77.62 | $97.72 | $208.93 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $138.04 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $138.04 | $141.25 | $141.25 |
BCBS Texas Setting Facility Modifier None Typical Low $162.18 Median $380.19 Typical High $1,096.48 | Facility | None | $162.18 | $380.19 | $1,096.48 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $46.77 Median $144.54 Typical High $218.78 | Professional | None (both parts) | $46.77 | $144.54 | $218.78 |
Baylor Scott & White Setting Facility Modifier None Typical Low $263.03 Median $912.01 Typical High $1,023.29 | Facility | None | $263.03 | $912.01 | $1,023.29 |
Christus Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $51.29 | $51.29 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $630.96 Typical High $2,187.76 | Facility | None | $288.40 | $630.96 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $154.88 Typical High $316.23 | Professional | None (both parts) | $112.20 | $154.88 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $50.12 Typical High $102.33 | Professional | 26 · Professional part | $35.48 | $50.12 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $107.15 Typical High $218.78 | Professional | TC · Technical part | $75.86 | $107.15 | $218.78 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None (both parts) | $1,819.70 | $1,819.70 | $1,819.70 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 26 · Professional part | $537.03 | $537.03 | $537.03 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | TC · Technical part | $1,258.93 | $1,258.93 | $1,258.93 |
Moda Health Setting Facility Modifier None Typical Low $165.96 Median $1,288.25 Typical High $1,548.82 | Facility | None | $165.96 | $1,288.25 | $1,548.82 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $97.72 Median $154.88 Typical High $562.34 | Facility | TC · Technical part | $97.72 | $154.88 | $562.34 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $144.54 Typical High $346.74 | Professional | None (both parts) | $112.20 | $144.54 | $346.74 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $46.77 Typical High $97.72 | Professional | 26 · Professional part | $36.31 | $46.77 | $97.72 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $97.72 Typical High $223.87 | Professional | TC · Technical part | $77.62 | $97.72 | $223.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $15.14 Median $77.62 Typical High $165.96 | Professional | None (both parts) | $15.14 | $77.62 | $165.96 |
Providence Setting Facility Modifier None Typical Low $165.96 Median $489.78 Typical High $2,344.23 | Facility | None | $165.96 | $489.78 | $2,344.23 |
Providence Setting Professional Modifier None (both parts) Typical Low $104.71 Median $154.88 Typical High $316.23 | Professional | None (both parts) | $104.71 | $154.88 | $316.23 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $50.12 Typical High $100.00 | Professional | 26 · Professional part | $32.36 | $50.12 | $100.00 |
Providence Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $107.15 Typical High $213.80 | Professional | TC · Technical part | $72.44 | $107.15 | $213.80 |
United Setting Facility Modifier None Typical Low $831.76 Median $851.14 Typical High $1,122.02 | Facility | None | $831.76 | $851.14 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $181.97 Typical High $275.42 | Professional | None (both parts) | $144.54 | $181.97 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $60.26 Typical High $91.20 | Professional | 26 · Professional part | $47.86 | $60.26 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $123.03 Typical High $194.98 | Professional | TC · Technical part | $97.72 | $123.03 | $194.98 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $173.78 | $173.78 | $173.78 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $53.70 | $53.70 | $53.70 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $117.49 | $117.49 | $117.49 |
11 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $54.95 Median $83.18 Typical High $489.78 | Facility | 52 · Reduced service | $54.95 | $83.18 | $489.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.88 Median $33.11 Typical High $194.98 | Facility | 53 · Discontinued | $21.88 | $33.11 | $194.98 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $87.10 Median $123.03 Typical High $457.09 | Facility | FX · Film X-ray | $87.10 | $123.03 | $457.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $70.79 Typical High $107.15 | Professional | 52 · Reduced service | $56.23 | $70.79 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $28.18 Typical High $42.66 | Professional | 53 · Discontinued | $22.39 | $28.18 | $42.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $114.82 Typical High $169.82 | Professional | FX · Film X-ray | $91.20 | $114.82 | $169.82 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $53.70 Median $77.62 Typical High $239.88 | Facility | 52 · Reduced service | $53.70 | $77.62 | $239.88 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $21.38 Median $30.90 Typical High $95.50 | Facility | 53 · Discontinued | $21.38 | $30.90 | $95.50 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $79.43 Median $123.03 Typical High $478.63 | Facility | FX · Film X-ray | $79.43 | $123.03 | $478.63 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $69.18 Typical High $83.18 | Professional | 52 · Reduced service | $56.23 | $69.18 | $83.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $27.54 Typical High $33.11 | Professional | 53 · Discontinued | $22.39 | $27.54 | $33.11 |
Where Texas sits
The same service costs 4.4 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Texas· 50th of 51
$155
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.